{"npi":"1427245372","type":"NPI-2","status":"active","name":{"display":"Jackson W Lind LLC","other":[],"organization_name":"JACKSON W LIND LLC","authorised_official":"Jackson Lind"},"specialty":{"primary_taxonomy":"103TP0016X","primary_taxonomy_description":"Prescribing (Medical) Psychologist","slug":"prescribing-medical-psychologist","schema_org_specialty":null,"all":[{"code":"103TP0016X","description":"Prescribing (Medical) Psychologist","primary":true,"state":"ND","license":"2756"}]},"addresses":[{"purpose":"LOCATION","street_1":"2301 25TH ST S","city":"FARGO","state":"ND","postal_code":"581036104","country_code":"US","street_2":"SUITE I","phone":"7012419300","fax":"7012354525"},{"purpose":"MAILING","street_1":"2301 25TH ST S","city":"FARGO","state":"ND","postal_code":"581036104","country_code":"US","street_2":"SUITE I","phone":"7012419300","fax":"7012354525"}],"license":{"state":"ND","number":"2756"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"18654","state":"ND","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-09-25","last_updated":"2007-10-10","_meta":{"source":"NPPES","snapshot_date":"2007-10-10","doc_url":"https://findmynpi.com/api"}}